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Trichuris trichuria Gejala: diare, nyeri perut, anemia. Hidup di large intestine. Infeksi: menelan embryonated egg • Diagnostik: unembryonated egg di feses Th/ albendazole, mebendazole, ivermectin

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Page 1: slide

Trichuris trichuria• Gejala: diare, nyeri perut,

anemia. Hidup di large intestine.

• Infeksi: menelan embryonated egg

• Diagnostik: unembryonated egg di feses

• Th/ albendazole, mebendazole, ivermectin

Page 2: slide

Necator americanus Ancylostoma duodenale• Gejala: gatal di tempat

infeksi (ground itch), mual muntah, diare, anemia def besi. Hidup di small intestine

• Infeksi: larva filariform L3(penetrasi kulit)

• Diagnostik: telur di feses• Th/ albendazole 400mg SD,

mebendazole 500mg SD, pyrantel pamoat

Page 3: slide

Ascaris lumbricoides• Gejala: pneumonitis with cough,

intestinal blockage, vomit, abd pain (hidup di small intestine

• Infeksi oral: telur berisi larva• Diagnostik: telur• Th/ albendazole 400mg SD,

mebendazole 500mg SD, pirantel 10mg/kg SD

Telur dengan dinding 3 lapis:1. Albuminoid : tebal dan bersifat impermiable2. Lapisan Hialine : memberi bentuk telur, impermiable3. Viteline : mengelilingi sel telur sangat impermiable

Page 4: slide

Oxyuris vermicularis/Enterobius vermicularis

• Gejala: gatal hebat di anus, BB dan nafsu makan turun

• Infektif: menelan embryonated egg

• Diagnostik: eggs on perianal folds

• Th/ Albendazole, mebendazole, pyrantel pamoat give 1 dose at first and then another single dose 2 weeks later

Page 5: slide

Ancylostoma braziliense• Penyebab creeping

eruption/cutaneus larva migrans serpiginous (snakelike), slightly elevated, erythematous tunnels

• Infektif: larva filariform• Diagnosis: dari gejala+PF

kulit, dan riwayat paparan; biopsi kulit

• Th/ tiabendazole 50 mg/kg 2x1 selama 2 hari, albendazole 1x400mg 3 hari

Page 6: slide

Taenia solium• Gejala:

– Taeniasis: slight abdominal irritation with diarrhea, constipation or indigestion

– Sistiserkosis: gangguan neurologis kejang, peningkatan TIK

• Infeksi: daging sapi/babi tidak matang dengan sistiserkus, yang mengandung invaginated protoscolex

• Diagnostik: telur atau proglottid di feses

• Th/ praziquantelu/ sistiserkosis: niklosamid, albendazole

Page 7: slide

Entamoeba histolytica• Gejala:

– Noninvasive infection (asymtomatic carrier)

– Intestinal disease (diare darah&mukus, demam)

– Extraintestinal disease (abses hepar)

• Infeksi: kista matang (oral)• Diagnostik: kista dan trofozoid

di feses• Th/:

– Carier: paromomycin– Intestinal: nitroimidazole– Abses hepar: metronidazole,

chloroquine

Page 8: slide

Filariasis (Wucheria bancrofti, Brugia malayi, Brugia timori)

• Gejala: Demam, limfadenopati inguinal, pembengkakan tungkai&genital

• Infeksi: larva L3 (nyamuk)• Diagnostik: mikrofilaria di

darah• Th/: DEC (dietilcarbamazine

citrate)• Pengobatan massal:

albendazole 400 mg + ivermectin 150-200 mcg/kg atau DEC 6mg/kg